Oath of Allegiance.
L.
swear by Almighty God that I will be faithful and bear true allegiance to His Majesty King George the Fifth, His Heirs and Successors, according to law.
(Signature of Alien)
Sworn and subscribed this
day of
19
>
before me,
(Signature)
Official Title)
Address
Note. Unless otherwise indicate hereon, if the oath of allegiance is not taken within one calendar month
after the date of this certificate, the certificate is void.